A1c improvement

By coleman433 Latest Reply 2014-08-14 10:36:11 -0500
Started 2014-08-13 15:23:07 -0500

3 months ago my a1c was 13.2, I just received my lab results and 3 months later I am at 8.5, I feel like I made so much improvement but still have room for more. Was thinking I could get my a1c in the 7 percentile range unrealistic? In a way I'm bummed but I still know I accomplished a lot over the last few months. Type 1. Thanks for any input

5 replies

brazosbelle 2014-08-14 10:36:11 -0500 Report

Hi coleman433!

You have done an incredible job in reducing your A1c! It has taken me a longer time, but after being diagnosed a T1 (at over 40), it took me about a year to bring my a1c down from 8.3 to 6.7. (Initially it was over 12, many years ago)

I am starting to slowly reduce the amount of insulin I take, and intend to do that as I continuously work on reducing my a1c. I am hoping to get mine under 6.5…

Again, I say "Great Job"!


coleman433 2014-08-14 05:58:24 -0500 Report

I am taking injections, lantus and humalog. Seems like an awful lot too. Hopefully get an insulin pump, I kind of have my eye set on an omni pod.

jayabee52 2014-08-13 16:34:47 -0500 Report

Howdy Coleman
That is fantasic that your A1c dropped that much in 3 mo! WTG! (we have to celebrate all our victories don't we?)

I understand that as a Type 1 the lowest A1c you can achieve is somewhere in the 6s. However I have seen reports that to achieve levels that low is dangerous for T1s. I understand that it is safer to stay at 7.

Here is a snippet from Endocrine Web reporting on The ADA position on A1c:

"Summary of A1C recommendations (nonpregnant) for people with diabetes1

<18 years: <7.5%1
Adults: <7.0%1
Healthy adults with no comorbidities: <7.5%1
Complex/intermediate health: <8.0%1
Very complex/poor health: <8.5%1"

There's more to the article see ~ http://www.endocrineweb.com/professional/meet...

I pray this has been of help


Type1Lou 2014-08-13 16:31:11 -0500 Report

Congratulations on your progress. You're definitely moving in the right direction. Getting your A1c's into the 7's is certainly realistic…and eventually, maybe even into the 6's. I've found that for me, limiting my carbohydrates is the key to better BG's. Are you injecting or on an insulin pump? When I was on MDI, my A1c kept creeping up. Since starting on an insulin pump nearly 3 years ago, I've gotten my A1c back into the 6's and eliminated the really scary low BG's. Last April my A1c was 6.8 and I'm hoping for a better one this month…awaiting lab results. My goal is to get to the mid to low 6's. Start out by doing what you can, pretty soon you've done the possible and might even accomplish the impossible!

haoleboy 2014-08-13 16:29:10 -0500 Report

congratulations. /that is a significant improvement.
I think there is a clear advantage to setting aggressive goals … of course you should check with your health care team, but for me the lower I can get my numbers the better my chances of avoiding (any more) complications … and isn't that really why we are doing this?


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